MARY KAITLIN CARDULLO DMD
NPI 1619638764
Dentist in Portland, OR

Active since December 31, 2021
8568 SW APPLE WAY, PORTLAND, OR 97225(503) 292-6773 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Kaitlin Cardullo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KAITLIN CARDULLO DMD (NPI 1619638764) is an individual dentist in Portland, Oregon, licensed in Oregon (D11547) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1619638764
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARY KAITLIN CARDULLOCredential: DMD
Location Address8568 SW APPLE WAYPortland, OR 97225-1772
Mailing Address1522 Se Belmont StPortland, OR 97214-2642 · (304) 651-0182
Sole ProprietorNo
Enumeration DateDecember 31, 2021
NPPES CertifiedOctober 6, 2021
NPI 1619638764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D11547
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8568 SW APPLE WAY, Portland, OR 97225

Other Names 1

Other Name (5)Kate Cardullo Dmd

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
8568 SW APPLE WAY
PORTLAND, OR 97225
Dentist
8568 SW APPLE WAY
PORTLAND, OR 97225
Dentist
8568 SW APPLE WAY
PORTLAND, OR 97225
Dentist (General Practice)
8568 SW APPLE WAY
PORTLAND, OR 97225
Clinic/Center (Dental)
8568 SW APPLE WAY
PORTLAND, OR 97225
Dental Hygienist
8568 SW APPLE WAY
PORTLAND, OR 97225
Clinic/Center (Dental)
8568 SW APPLE WAY
PORTLAND, OR 97225
Dentist (General Practice)
8568 SW APPLE WAY
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Cardullo's NPI number?

The NPI number for Mary Cardullo is 1619638764. It was assigned to this individual provider in the NPPES registry on December 31, 2021. The provider is also known as Kate Cardullo Dmd.

Where is Mary Cardullo located?

Mary Cardullo practices at 8568 SW Apple Way, Portland, OR 97225. The listed phone number is (503) 292-6773.

What is Mary Cardullo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mary Cardullo was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.